Virginia / Inova Loudoun Hospital
CMS certification 490043 · Leesburg, VA · 4 entries in CMS's price-transparency list
Inova Loudoun Hospital: charges and Medicare payments
Inova Loudoun Hospital reported 3,486 Medicare inpatient stays across 85 DRGs in 2024. Across them it charged 3.53 times what it was paid — mid-range in Virginia, number 36 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 463 stays at an average charge of $48,982, 46% below the national average. It also billed 2,897 outpatient services, charging 6.59 times what Medicare paid.
- 1Medicare inpatient stays 3,486
- 2Charge ÷ paid, inpatient 3.53×
- 3Rank in VA (highest ratio = 1) 36 of 66
- 4CMS price-transparency actions 4
Inpatient stays
For the 85 DRGs that can be compared with the national average, Inova Loudoun Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 463 | $48,982 | -46% | $15,137 |
| 291 Heart Failure and Shock with MCC | 292 | $39,189 | -30% | $10,068 |
| 177 Respiratory Infections and Inflammations with MCC | 164 | $39,451 | -44% | $13,030 |
| 193 Simple Pneumonia and Pleurisy with MCC | 133 | $35,151 | -41% | $10,519 |
| 690 Kidney and Urinary Tract Infections without MCC | 81 | $20,734 | -45% | $6,388 |
| 689 Kidney and Urinary Tract Infections with MCC | 79 | $29,018 | -43% | $8,932 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 77 | $33,865 | -39% | $8,308 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 71 | $21,158 | -47% | $7,043 |
| 481 Hip and Femur Procedures except Major Joint with CC | 70 | $58,833 | -42% | $15,261 |
| 603 Cellulitis without MCC | 70 | $20,490 | -45% | $6,964 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 69 | $28,127 | -43% | $8,538 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 66 | $33,193 | -55% | $12,061 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 61 | $45,686 | -54% | $13,711 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 61 | $32,197 | -47% | $11,022 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 60 | $52,428 | -31% | $12,186 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 59 | $110,322 | -52% | $39,496 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 57 | $38,819 | -31% | $9,835 |
| 378 Gastrointestinal Hemorrhage with CC | 53 | $35,275 | -27% | $7,942 |
| 885 Psychoses | 53 | $19,706 | -55% | $10,561 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 49 | $24,814 | -31% | $6,186 |
| 189 Pulmonary Edema and Respiratory Failure | 46 | $32,175 | -44% | $9,365 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 46 | $91,746 | -20% | $14,881 |
| 377 Gastrointestinal Hemorrhage with MCC | 46 | $55,737 | -35% | $15,599 |
| 312 Syncope and Collapse | 43 | $29,937 | -34% | $7,145 |
| 552 Medical Back Problems without MCC | 43 | $30,241 | -38% | $7,941 |
| 683 Renal Failure with CC | 43 | $26,034 | -36% | $7,361 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 42 | $65,343 | -36% | $16,187 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 41 | $24,689 | -33% | $6,499 |
| 682 Renal Failure with MCC | 41 | $35,625 | -46% | $10,560 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 37 | $61,885 | -45% | $16,600 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 30 | $31,992 | -37% | $8,718 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 28 | $29,459 | -30% | $5,628 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $28,825 | -53% | $10,025 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 28 | $22,990 | -52% | $7,757 |
| 314 Other Circulatory System Diagnoses with MCC | 27 | $42,867 | -55% | $16,218 |
| 394 Other Digestive System Diagnoses with CC | 27 | $31,121 | -34% | $7,300 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 26 | $45,020 | -31% | $11,668 |
| 194 Simple Pneumonia and Pleurisy with CC | 26 | $25,719 | -33% | $6,513 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 25 | $126,440 | -45% | $32,517 |
| 389 Gastrointestinal Obstruction with CC | 25 | $22,467 | -42% | $6,385 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 25 | $87,011 | -37% | $20,786 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $37,225 | -26% | $7,200 |
| 644 Endocrine Disorders with CC | 24 | $28,894 | -40% | $7,799 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 24 | $44,960 | -33% | $11,796 |
| 178 Respiratory Infections and Inflammations with CC | 23 | $26,877 | -41% | $7,955 |
| 329 Major Small and Large Bowel Procedures with MCC | 22 | $126,714 | -41% | $35,848 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 20 | $34,165 | -50% | $10,491 |
| 202 Bronchitis and Asthma with CC/MCC | 20 | $27,419 | -41% | $8,750 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 18 | $42,761 | -42% | $10,339 |
| 393 Other Digestive System Diagnoses with MCC | 17 | $43,291 | -44% | $12,848 |
| 536 Fractures of Hip and Pelvis without MCC | 17 | $27,676 | -27% | $6,374 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 17 | $42,684 | -13% | $7,995 |
| 602 Cellulitis with MCC | 17 | $37,140 | -38% | $10,692 |
| 638 Diabetes with CC | 17 | $26,107 | -37% | $7,755 |
| 812 Red Blood Cell Disorders without MCC | 17 | $26,455 | -40% | $7,625 |
| 196 Interstitial Lung Disease with MCC | 16 | $40,930 | -53% | $13,466 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $137,094 | -16% | $28,357 |
| 551 Medical Back Problems with MCC | 16 | $49,475 | -37% | $13,081 |
| 300 Peripheral Vascular Disorders with CC | 15 | $41,412 | -16% | $8,391 |
| 330 Major Small and Large Bowel Procedures with CC | 15 | $70,453 | -41% | $17,070 |
Showing the 60 most frequent of 85 DRGs.
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Inova Loudoun Hospital charged $48,982 on average, 25% less than the Virginia average of $65,235, and was paid $15,137 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Inova Loudoun Hospital charged $39,189 on average, 4% less than the Virginia average of $40,795, and was paid $10,068 against a state average of $11,030. For Respiratory Infections and Inflammations with MCC (DRG 177), Inova Loudoun Hospital charged $39,451 on average, 20% less than the Virginia average of $49,485, and was paid $13,030 against a state average of $13,709. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Inova Loudoun Hospital charged $35,151 on average, 21% less than the Virginia average of $44,717, and was paid $10,519 against a state average of $11,065. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,717 was 6% above the state average of $19,506. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $15,922 was 28% above the state average of $12,403. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,003 was 44% below the state average of $31,869. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $27,853 was 16% below the state average of $33,253.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Inova Loudoun Hospital in Leesburg, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-05-18 (CMS case 112)
- CAP Request — 2021-10-27 (CMS case 112)
- Closure Notice — 2022-01-11 (CMS case 112)
- Met Requirements — 2025-04-14 (CMS case 3785)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.